2024 PN NCLEX Questions Nursing Practice Question
When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
Correct Answer: B
Rationale: A semen analysis is the initial step in infertility evaluations, as male factors account for nearly half of infertility cases. This test assesses sperm quality and quantity, providing essential information for further evaluation.
Hysterosalpingography (A) is useful for assessing fallopian tube patency but is typically performed after initial semen analysis results. An endometrial biopsy (C) evaluates the uterine lining but is not first-line due to its invasive nature. A transvaginal ultrasound (D) can assess ovarian and uterine anatomy but does not directly evaluate male factors, making it less appropriate as the first procedure.